Full Recovery after Cardiopulmonary Resuscitation in Lateral Position Necessitated by Hemorrhagic Shock

authors:

avatar Niloufar Masoudi ORCID 1 , avatar Mohammad Fathi 1 , avatar Ardeshir Tajbakhsh ORCID 2 , *

Clinical Research and Development Unit at Shahid Modarres Hospital, Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Anesthesiology Research Center, Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Journal of Cellular & Molecular Anesthesia: Vol.4, issue 1; e150318
published online: August 15, 2019
article type: Brief Report
DOI: https://doi.org/10.5812/jcma-150318

how to cite: Masoudi N, Fathi M, Tajbakhsh A. Full Recovery after Cardiopulmonary Resuscitation in Lateral Position Necessitated by Hemorrhagic Shock. J Cell Mol Anesth. 2019;4(1):e150318. https://doi.org/10.5812/jcma-150318.

Abstract

Introduction: Cardiac arrest during general anesthesia is often witnessed and anticipated with better prognosis. But it may have some difficulties as positions other than supine.
 
Case Presentation: A 43-year-old woman underwent a left radical nephrectomy due to renal cancer while in a lateral position. Her operation was complicated by massive bleeding because of a laceration in the inferior vena cava. Due to rapid blood loss, pulseless electrical activity occurred. Chest compressions were administered with the patient in the lateral decubitus position. Following a blood transfusion, IV fluid administration, FFP, induced hypothermia, fresh whole blood and norepinephrine infusion, the patient was stabilized. She was transferred to ICU, and after 24 hours she was extubated. The next week she was discharged with no neurological damage.
 
Conclusion: Initiating chest compressions as soon as possible even in positions other than supine could minimize hypoxic complications and enhance prognosis of cardiac arrest. 

References

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    References are in the PDF file of the article.